Healthcare Provider Details

I. General information

NPI: 1225880578
Provider Name (Legal Business Name): S. ELIZABETH WILKINSON PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2024
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5855 LEHMAN DR STE 201
COLORADO SPRINGS CO
80918-3492
US

IV. Provider business mailing address

145 CAROLINA CLUB DR
GRANDY NC
27939-9633
US

V. Phone/Fax

Practice location:
  • Phone: 719-233-9206
  • Fax:
Mailing address:
  • Phone: 719-233-9206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SUZANNE ELIZABETH WILKINSON
Title or Position: OWNER, LPC
Credential: LPC
Phone: 719-233-9206